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Updated: Feb 15, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Mitral valve replacement via a left thoracotomy in dextrocardia and situs solitus
María García Vieites1, María Jose Martinez-Sapiña Llanas2, Marcos Gómez Zincke1
11 Department of Cardiovascular Surgery, 16811 Coruna University Hospital , Coruna, Spain.
Abstract:
Dextrocardia with situs solitus and severe mitral regurgitation is a rare clinical presentation which posse a surgical challenge and requires specific preoperative planning. A 54-year-old women with this anatomy, multiple thoracic procedures, and severe mitral valve regurgitation underwent successful mitral valve replacement with a 27-mm mechanical prosthesis through a left thoracotomy under ventricular fibrillation, on the basis of computed tomography findings. We emphasize the importance of preoperative planning and a surgical approach through a left thoracotomy and under ventricular fibrillation.
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